Active NPI
Heather Lloyd
- Registered Nurse
- Portland, OR
National Provider Identifier
1497485247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 201042304RN
- Practice address
- 30 NE MLK Jr Blvd
Portland, OR 97232-2941 - Phone
- (503) 232-1099
- Fax
- (503) 232-3854
- NPI assigned
- Jun 14, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 201042304RN | OR | Primary |
Addresses
Primary practice location
30 NE MLK Jr Blvd
Portland, OR 97232-2941
Mailing address
17851 SW Kinnaman Rd Apt 217
Beaverton, OR 97078-3105
Phone (503) 936-5057
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201042304RN | OR | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telecare Mental Health Services of Oregon, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Illness Community Based Residential Treatment Facility
- Portland, OR
- NPI 1124310305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655164800000",
"number": "1497485247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17851 SW KINNAMAN RD APT 217",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970783105",
"telephone_number": "503-936-5057",
"fax_number": "503-232-3854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 NE MLK JR BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322941",
"telephone_number": "503-232-1099",
"fax_number": "503-232-3854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LLOYD",
"first_name": "HEATHER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-14",
"last_updated": "2022-06-14",
"certification_date": "2022-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "201042304RN",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.